Healthcare Provider Details

I. General information

NPI: 1659366524
Provider Name (Legal Business Name): WOODROW ANTHONY BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 10/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 MONTICELLO RD STE 3
COLUMBIA SC
29203-4156
US

IV. Provider business mailing address

PO BOX 3788
COLUMBIA SC
29230-3788
US

V. Phone/Fax

Practice location:
  • Phone: 803-754-0151
  • Fax: 803-691-1778
Mailing address:
  • Phone: 803-733-5969
  • Fax: 803-217-0266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18241
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: